HomeMy WebLinkAboutBUSINESS PLAN 3/9/2011UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Prevention Services
B rAR 1 , D 9001Yuxtun Ave., Suite 210
Bakersfield, CA 93301
r Tel.: (66 1) 326 -3979
Fax: (661) 872 -2171
FACILITY NAME
T T �' ,�►�� g, L E_
INSPECTION DATE
3 -1 --�) (
INSPECTION TIME
s .x� : ,✓
ADDRESS
212$ M7 v���r✓
PHONE NO.
I
O OF EMPLOYEES
-�
APPROPRIATE PERMIT ON HAND
P A
C}/
FACILITY CONTACT
BUSINESS ID NUMBER
15 -021- 003731
7
a� � r
SIctlon1BuslnessPlan and Inventory Per °gram ,W
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
V
( C= Compliance OPERATION
V= Violation
COMMENTS
9f
❑
APPROPRIATE PERMIT ON HAND
C}/
❑
Business PLAN CONTACT INFORMATION ACCURATE
7
❑
VISIBLE ADDRESS
I
❑
CORRECT OCCUPANCY
❑
VERIFICATION OF INVENTORY MATERIALS
❑
VERIFICATION OF QUANTITIES
�I
❑
VERIFICATION OF LOCATION
❑
PROPER SEGREGATION OF MATERIAL
9(
❑
VERIFICATION OF MSDS AVAILABILITY
2f
❑
VERIFICATION OF HAZ MAT TRAINING
A
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
Vr
❑
EMERGENCY PROCEDURES ADEQUATE
W
❑
CONTAINERS PROPERLY LABELED
❑
HOUSEKEEPING
❑
FIRE PROTECTION
l�J
❑
SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDOUS WASTE ON SITE?
EXPLAIN:
❑ YES ❑ NO
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979
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Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Business Site / Responsible Party (Please Print)
White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05